PMID- 34943576 OWN - NLM STAT- PubMed-not-MEDLINE LR - 20211228 IS - 2075-4418 (Print) IS - 2075-4418 (Electronic) IS - 2075-4418 (Linking) VI - 11 IP - 12 DP - 2021 Dec 12 TI - Neurogranin as a Reliable Biomarker for Synaptic Dysfunction in Alzheimer's Disease. LID - 10.3390/diagnostics11122339 [doi] LID - 2339 AB - (1) Background: Neurogranin is a post-synaptic protein expressed in the neurons of the hippocampus and cerebral cortex. It has been recently proposed as a promising biomarker of synaptic dysfunction, especially in Alzheimer's disease (AD). However, more efforts are needed before introducing it in clinical practice, including the definition of its reference interval (RI). The aim of the study was to establish the RI of cerebrospinal fluid (CSF) neurogranin levels in controls and individuals with non-neurodegenerative neurological diseases; (2) We included a total of 136 individuals that were sub-grouped as follows: AD patients (n = 33), patients with non-neurodegenerative neurological diseases (n = 70) and controls (33). We measured CSF neurogranin levels by a commercial ELISA kit. CSF RI of neurogranin was calculated by a robust method; (3) Results: AD patients showed increased levels of neurogranin. We also found that neurogranin was significantly correlated with T-tau, P-tau and mini mental state examination in AD patients. The lower and upper reference limits of the RI were 2.9 (90%CI 0.1-10.8) and 679 (90%CI 595-779), respectively; (4) Conclusion: This is the first study establishing the RI of CSF neurogranin. FAU - Agnello, Luisa AU - Agnello L AD - Department of Biomedicine, Neurosciences and Advanced Diagnostics, Institute of Clinical Biochemistry, Clinical Molecular Medicine and Clinical Laboratory Medicine, University of Palermo, 90127 Palermo, Italy. FAU - Lo Sasso, Bruna AU - Lo Sasso B AD - Department of Biomedicine, Neurosciences and Advanced Diagnostics, Institute of Clinical Biochemistry, Clinical Molecular Medicine and Clinical Laboratory Medicine, University of Palermo, 90127 Palermo, Italy. AD - Department of Laboratory Medicine, Azienda Ospedaliera Universitaria Policlinico "P. Giaccone", 90127 Palermo, Italy. FAU - Vidali, Matteo AU - Vidali M AUID- ORCID: 0000-0001-9991-7502 AD - Foundation IRCCS Ca' Granda Ospedale Maggiore Policlinico, 20122 Milan, Italy. FAU - Scazzone, Concetta AU - Scazzone C AD - Department of Biomedicine, Neurosciences and Advanced Diagnostics, Institute of Clinical Biochemistry, Clinical Molecular Medicine and Clinical Laboratory Medicine, University of Palermo, 90127 Palermo, Italy. FAU - Piccoli, Tommaso AU - Piccoli T AUID- ORCID: 0000-0003-3410-2067 AD - Unit of Neurology, Department of Biomedicine, Neurosciences and Advanced Diagnostics, University of Palermo, 90127 Palermo, Italy. FAU - Gambino, Caterina Maria AU - Gambino CM AD - Department of Biomedicine, Neurosciences and Advanced Diagnostics, Institute of Clinical Biochemistry, Clinical Molecular Medicine and Clinical Laboratory Medicine, University of Palermo, 90127 Palermo, Italy. FAU - Bivona, Giulia AU - Bivona G AUID- ORCID: 0000-0003-1723-3305 AD - Department of Biomedicine, Neurosciences and Advanced Diagnostics, Institute of Clinical Biochemistry, Clinical Molecular Medicine and Clinical Laboratory Medicine, University of Palermo, 90127 Palermo, Italy. FAU - Giglio, Rosaria Vincenza AU - Giglio RV AD - Department of Biomedicine, Neurosciences and Advanced Diagnostics, Institute of Clinical Biochemistry, Clinical Molecular Medicine and Clinical Laboratory Medicine, University of Palermo, 90127 Palermo, Italy. FAU - Ciaccio, Anna Maria AU - Ciaccio AM AD - Unit of Clinical Biochemistry, University of Palermo, 90127 Palermo, Italy. FAU - La Bella, Vincenzo AU - La Bella V AUID- ORCID: 0000-0003-2045-1864 AD - ALS Clinical Research Center, Department of Biomedicine, Neuroscience and Advanced Diagnostics, University of Palermo, 90129 Palermo, Italy. FAU - Ciaccio, Marcello AU - Ciaccio M AUID- ORCID: 0000-0001-6120-9041 AD - Department of Biomedicine, Neurosciences and Advanced Diagnostics, Institute of Clinical Biochemistry, Clinical Molecular Medicine and Clinical Laboratory Medicine, University of Palermo, 90127 Palermo, Italy. AD - Department of Laboratory Medicine, Azienda Ospedaliera Universitaria Policlinico "P. Giaccone", 90127 Palermo, Italy. LA - eng PT - Journal Article DEP - 20211212 PL - Switzerland TA - Diagnostics (Basel) JT - Diagnostics (Basel, Switzerland) JID - 101658402 PMC - PMC8700711 OTO - NOTNLM OT - RC3 OT - biomarkers OT - controls OT - diagnosis OT - neurodegeneration OT - prognosis OT - tau COIS- The authors declare no conflict of interest. EDAT- 2021/12/25 06:00 MHDA- 2021/12/25 06:01 PMCR- 2021/12/12 CRDT- 2021/12/24 01:03 PHST- 2021/09/16 00:00 [received] PHST- 2021/12/07 00:00 [revised] PHST- 2021/12/10 00:00 [accepted] PHST- 2021/12/24 01:03 [entrez] PHST- 2021/12/25 06:00 [pubmed] PHST- 2021/12/25 06:01 [medline] PHST- 2021/12/12 00:00 [pmc-release] AID - diagnostics11122339 [pii] AID - diagnostics-11-02339 [pii] AID - 10.3390/diagnostics11122339 [doi] PST - epublish SO - Diagnostics (Basel). 2021 Dec 12;11(12):2339. doi: 10.3390/diagnostics11122339.